Professional paper

Colobronchial fistula following a partial resection of the colon

MARINA MARAS-ŠIMUNIĆ ; Department of Diagnostic and Interventional Radiology, University Hospital Split, Šoltanska 1, 21 000 Split, Croatia
DRAGAN DRAGIČEVIĆ ; Department of Diagnostic and Interventional Radiology, University Hospital Split, Šoltanska 1, 21 000 Split, Croatia
MAJA ŠKORIĆ ; Department of Radiology, General Hospital Knin, Knin, Croatia
NIKOLA KOLJA POLJAK ; Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Center, Split, Croatia
MARIN ŠIMUNIĆ ; School of Medicine, Split, Croatia

Abstract

We report a case of colobronchial fistula as a late consequence of the resection of the colon due to relapse of the gastrointestinal stromal tumor (GIST). A 54-year-old man experiencing pain in the left upper abdominal region underwent doublecontrast barium enema which revealed a fistulous channel between the splenic flexure of the colon and the bronchial tree. Fiberoptic bronchoscopy, after an extensive washout and aspiration of barium sulphate, confirmed the existence of a fistula in left lower subsegmental bronchi. The patient underwent left lower lobectomy, resection of the colobronchial fistula and resection of the splenic flexure of the colon. A year after the operation, the multidetector computed tomography (MDCT) showed neither signs of malignant abdominal disease, nor signs of pathological changes in the lung bases.

Keywords

colobronchial fistula; barium enema; colon resection; postoperative complication

Hrčak ID:

110468

URI

https://hrcak.srce.hr/110468

Publication date:

1.10.2013.

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